Goodlerner, Susan
Goodlerner, Susan is an sole proprietor health care provider with primary practice located at 23451 Madison St Bldg 7 #330, Torrance CA 90505-4763. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Goodlerner, Susan can be contacted via phone (310) 375-9994.Contact Information
Primary practice address
23451 Madison St Bldg 7 #330
Torrance CA 90505-4763
Phone: (310) 375-9994
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | G44627 | California |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | G44627 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G44627 | California |
Profile Details
| NPI number | 1588710834 |
|---|---|
| LBN Legal business name | Goodlerner, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jun 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588710834 | NPPES |
| California | MEDICAID | 00G446270 |
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